一个电子审计和反系统的长度评估,以在一个大型第三级医院环境中确保患者安全
James Soresi1,2, Kevin Murray2, Theresa Marshall1
1North Metropolitan Health Service, Perth, WA, Australia.
Health informatics journal
|June 13, 2024
概括
一个新的电子审计和反 (e-A&F) 系统显著减少了超过50%的医院获得条件 (HACs). 这证明了数字工具在提高患者安全和医疗保健质量的有效性.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 医疗信息学 医疗信息学
背景情况:
- 医院获得的疾病 (HAC) 对患者安全和医疗保健成本构成重大负担.
- 需要有效的策略来监测和减少临床环境中HAC的发生率.
研究的目的:
- 评估新型电子审计和反 (e-A&F) 系统对患者结果,特别是HACs的影响.
- 量化归因于e-A&F干预的HACs的减少.
主要方法:
- 在第三级医院实施一个e-A&F系统,通过基于Web的仪表板提供近乎实时的反.
- 利用中断时间序列的细分回归分析来建模干预前后的变化.
- 分析了222,792个住院护理病例,以检测HAC的存在.
主要成果:
- 干预后,HAC的总体风险从8.57%降至4.12%,减少了51.93%.
- 电子A&F干预与HACs的21.93%的减少有关.
- 宣布国家优先清单有助于将HAC减少了29.99%.
结论:
- 该研究提供了证据表明,国家测量框架可以推动地方战略,如e-A&F系统.
- 电子A&F系统是实现患者结果显著和持续改善的有效工具.
- 数字健康干预措施有望提高医疗保健质量和患者安全.
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